ATI PN FUNDAMENTALS PROCTORED EXAM WITH LASTEST
QUESTION AND CORRECT ANSWERS RATED A+
A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs
The patient has manifestations of ____ as evidenced by the patient's _____-
allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a patient.
What findings indicate the patient might be malnourished?
- patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient who has pancreatitis.
Select 3 tasks the nurse should delegate to an assistive personnel (AP)
1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has chronic kidney disease. The nurse should identify that
which of the following findings is the priority to report to the provider?
,The patient's output was 60 mL for the past 3 hours
*this represents oliguria and can indicate a decrease in kidney perfusion or function
A nurse is preparing to administer an enteral feeding to a patient who has an NG tube in
place. Which of the following methods should the nurse use to verify correct placement of the
NG tube?
check the gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine position. Which of
the following actions should the nurse take to prevent patient musculoskeletal injury?
internally rotate the patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize that which of the
following pulses is located on the top of the patient's foot?
dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not understand the
procedure and are reconsidering their decision to have it. Which of the following actions
should the nurse take?
notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn, cough, and
deep breathe. Which of the following statements by the patient indicates an understanding of
the teaching?
"this can help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs, which are swollen
with 6 mm edema. Which of the following information should the nurse document?
3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular heart rate. Which
of the following actions should the nurse take?
count the patient's radial and apical pulses simultaneously with another nurse
A nurse is contributing to a plan of care for a patient who has a new prescription for a wrist
restraint. Which of the following actions should the nurse take?
pad bony prominences on the wrist
,A nurse is assisting with the plan of care for four adults. Which of the following tasks should
the nurse assign to an assistive personnel?
assist a patient to get out of bed after a breathing treatment
A nurse is collecting data from a patient who is 2 days postop following a colostomy
placement. Which of the following findings should the nurse report to the provider?
a purple colored stoma
A nurse is reviewing the medical record of a female patient who has heart failure. The nurse
should identify which of the following lab results as an indication that the patient has fluid
volume excess.
BUN 8 mg/dL (10 to 20 mg/dL)
*with fluid volume excess, the nurse should expect the patient's BUN to be below the expected
reference range due to hemodilution
A nurse is reinforcing teaching with a patient about the use of crutches. Which of the
following actions by the patient indicates an understanding of the teaching?
the patient advances the unaffected leg first while climbing stairs
A nurse is contributing to the plan of care for a patient who has a prescription for elastic
bandages to the lower extremities. Which of the following actions should the nurse
recommend for the plan of care?
Compare the patient's pedal pulses bilaterally every 4 hours
A nurse is preparing to obtain a patient's vital signs. Which of the following actions should the
nurse take when washing their hands?
turn off the faucet with a clean paper towel after drying hands
A nurse is preparing to administer a med to a preschooler and must convert the child's weight
from pounds to kilograms. The child weighs 30 pounds. How many kilograms does the child
weigh?
*round to the nearest tenth
13.6 kg
, A nurse is caring for a patient who is postop following a mastectomy. The patient states "I can
barely look at myself in the mirror". The nurse should identify the patient is experiencing
which of the following?
actual loss
*actual loss is a loss that occurs when the person can no longer feel, see, hear, or know an
object, another person, or a part of themselves, such as the loss of a body part
A nurse is assisting with the admission of a patient to a medical-surgical unit. Which of the
following findings should the nurse identify as an indication that the patient is malnourished?
pallor with scaly skin
A nurse is caring for a patient and is concerned that the patient may have a fecal impaction.
Which of the following is the most important question for the nurse to ask?
"Have you had small liquid stools?"
A nurse is collecting data from a patient who has an NG tube set to low intermittent suction.
Which of the following findings indicate hypomagnesemia?
positive Chvostek's sign
*to elicit this, the nurse should tap the patient's facial nerve near the ear. If the facial muscles
contract, the sign is positive, indicating low serum magnesium or calcium levels
A nurse is caring for a patient who has just died and practiced Islamic faith. Which of the
following cultural practices should the nurse expect?
the patient's face should be turned toward Mecca
A nurse is caring for a patient who has chronic pain. The nurse recommends that the patient
concentrate on a memory of a pleasurable experience. Which of the following
complementary therapies is the nurse suggesting?
guided imagery
A nurse is assisting with the admission of an older adult to an acute care facility. Which of the
following is a therapeutic response the nurse should make?
"describe your concerns about sleeping to me"
QUESTION AND CORRECT ANSWERS RATED A+
A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs
The patient has manifestations of ____ as evidenced by the patient's _____-
allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a patient.
What findings indicate the patient might be malnourished?
- patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient who has pancreatitis.
Select 3 tasks the nurse should delegate to an assistive personnel (AP)
1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has chronic kidney disease. The nurse should identify that
which of the following findings is the priority to report to the provider?
,The patient's output was 60 mL for the past 3 hours
*this represents oliguria and can indicate a decrease in kidney perfusion or function
A nurse is preparing to administer an enteral feeding to a patient who has an NG tube in
place. Which of the following methods should the nurse use to verify correct placement of the
NG tube?
check the gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine position. Which of
the following actions should the nurse take to prevent patient musculoskeletal injury?
internally rotate the patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize that which of the
following pulses is located on the top of the patient's foot?
dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not understand the
procedure and are reconsidering their decision to have it. Which of the following actions
should the nurse take?
notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn, cough, and
deep breathe. Which of the following statements by the patient indicates an understanding of
the teaching?
"this can help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs, which are swollen
with 6 mm edema. Which of the following information should the nurse document?
3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular heart rate. Which
of the following actions should the nurse take?
count the patient's radial and apical pulses simultaneously with another nurse
A nurse is contributing to a plan of care for a patient who has a new prescription for a wrist
restraint. Which of the following actions should the nurse take?
pad bony prominences on the wrist
,A nurse is assisting with the plan of care for four adults. Which of the following tasks should
the nurse assign to an assistive personnel?
assist a patient to get out of bed after a breathing treatment
A nurse is collecting data from a patient who is 2 days postop following a colostomy
placement. Which of the following findings should the nurse report to the provider?
a purple colored stoma
A nurse is reviewing the medical record of a female patient who has heart failure. The nurse
should identify which of the following lab results as an indication that the patient has fluid
volume excess.
BUN 8 mg/dL (10 to 20 mg/dL)
*with fluid volume excess, the nurse should expect the patient's BUN to be below the expected
reference range due to hemodilution
A nurse is reinforcing teaching with a patient about the use of crutches. Which of the
following actions by the patient indicates an understanding of the teaching?
the patient advances the unaffected leg first while climbing stairs
A nurse is contributing to the plan of care for a patient who has a prescription for elastic
bandages to the lower extremities. Which of the following actions should the nurse
recommend for the plan of care?
Compare the patient's pedal pulses bilaterally every 4 hours
A nurse is preparing to obtain a patient's vital signs. Which of the following actions should the
nurse take when washing their hands?
turn off the faucet with a clean paper towel after drying hands
A nurse is preparing to administer a med to a preschooler and must convert the child's weight
from pounds to kilograms. The child weighs 30 pounds. How many kilograms does the child
weigh?
*round to the nearest tenth
13.6 kg
, A nurse is caring for a patient who is postop following a mastectomy. The patient states "I can
barely look at myself in the mirror". The nurse should identify the patient is experiencing
which of the following?
actual loss
*actual loss is a loss that occurs when the person can no longer feel, see, hear, or know an
object, another person, or a part of themselves, such as the loss of a body part
A nurse is assisting with the admission of a patient to a medical-surgical unit. Which of the
following findings should the nurse identify as an indication that the patient is malnourished?
pallor with scaly skin
A nurse is caring for a patient and is concerned that the patient may have a fecal impaction.
Which of the following is the most important question for the nurse to ask?
"Have you had small liquid stools?"
A nurse is collecting data from a patient who has an NG tube set to low intermittent suction.
Which of the following findings indicate hypomagnesemia?
positive Chvostek's sign
*to elicit this, the nurse should tap the patient's facial nerve near the ear. If the facial muscles
contract, the sign is positive, indicating low serum magnesium or calcium levels
A nurse is caring for a patient who has just died and practiced Islamic faith. Which of the
following cultural practices should the nurse expect?
the patient's face should be turned toward Mecca
A nurse is caring for a patient who has chronic pain. The nurse recommends that the patient
concentrate on a memory of a pleasurable experience. Which of the following
complementary therapies is the nurse suggesting?
guided imagery
A nurse is assisting with the admission of an older adult to an acute care facility. Which of the
following is a therapeutic response the nurse should make?
"describe your concerns about sleeping to me"
